{
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"FirstLineMailingAddress": "1012 MARQUEZ PL STE 211",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SANTA FE",
"MailingAddressStateName": "NM",
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"FirstLinePracticeLocationAddress": "25221 MILES ROAD",
"SecondLinePracticeLocationAddress": "SUITE F",
"PracticeLocationAddressCityName": "WARRENSVILLE HEIGHTS",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "216-514-1600",
"PracticeLocationAddressFaxNumber": "216-292-3291",
"EnumerationDate": "10/12/2012",
"LastUpdateDate": "09/09/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": "F",
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"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225XP0200X",
"TaxonomyName": "Pediatric Occupational Therapist",
"LicenseNumber": "007106",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}